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Doctor insights on: Astelin Nose Spray

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Dr. Jeffrey Rosch Dr. Rosch
Internal Medicine - Allergy & Immunology
45 years in practice
Jefferson Medical College of Thomas Jefferson University
1

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My allergies is keeping me stuffed up with a bad cough my doc gave me astelin nose spray and i take zyrtec (cetirizine) my chest has never been this bad.

My allergies is keeping me stuffed up with a bad cough my doc gave me astelin nose spray and i take zyrtec (cetirizine)  my chest has never been this bad.

It's tree season: Welcome to a bad tree allergy season! consider seeing a board certified allergist for appropriate evaluation and treatment. ...Read more

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Dr. Krishna Kumar
47 doctors shared insights

Azelastine (Definition)

Azelastine is a nasal preparation which is a kind of ...Read more


Dr. Barbara Stark Baxter Dr. Baxter
Internal Medicine - Allergy & Immunology
38 years in practice
Columbia University College of Physicians and Surgeons
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I have severe allergies was perscribed astelin nose spray & eye drops zyrtec (cetirizine) ventolin inhaler duo neb its not that effective add anything?

I have severe allergies  was perscribed astelin nose spray & eye drops zyrtec (cetirizine) ventolin inhaler duo neb its not that effective add anything?

Allergy asthma meds: It sounds like you have severe allergies and some asthma . OTC sprays Nasacort and Flonase help nasal symptoms but take a few days to kick in . Singulair (montelukast) is a prescription pill that can help with nasal or chest symptoms . Steroid inhalers are important for asthma (e.g. Qvar, Flovent). If allergies are severe, see an allergist and get skin tests. Allergy shots are better than meds for long term. ...Read more

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Dr. Gary Steven Dr. Steven
Internal Medicine - Allergy & Immunology
26 years in practice
Medical College of Wisconsin
3

3
I use astelin (azelastine) and flonase. Which should I spray into my nose first for best results?

I use astelin (azelastine) and flonase.  Which should I spray into my nose first for best results?

No difference: Neither one, when used first, will add to the effect of the second; in fact, there is one product on the market that includes both of these medications in a single nose spray. To maximize the effect of the medications, though, you can spray nasal saline into your nose 10-15 minutes before you use the medications, in order to remove any secretions that would interfere with the meds being absorbed. ...Read more

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Dr. Felecia Sumner Dr. Sumner
Family Medicine
6 years in practice
Philadelphia College of Osteopathic Medicine
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Should you inhale with nose at the same time as you take your Allergodil (azelastine) spray?

Should you inhale with nose at the same time as you take your Allergodil (azelastine) spray?

Inhale regularly: You can just breathe regularly when you are administering the spray. And, be sure to prime pump the spray until a fine mist appears, if you haven't used it in 3 days or if it's your first time using it. Best wishes! ...Read more

Dr. William Culviner Dr. Culviner
ENT - Head & Neck Surgery
26 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
5

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I have a nose spray with Flunisolide 0.125mg and Oxymetazoline 0.25mg....can i also use Azelastine HCI at the same time?

I have a nose spray with Flunisolide 0.125mg and Oxymetazoline 0.25mg....can i also use Azelastine HCI at the same time?

Nasal sprays: Flunisolide is a nasal steroid and it safe to use on a daily basis. Oxymetazoline is a nasal decongestant and it is not meant for every day use. You should not exceed using that for more than three days. You risk severe rebound nasal congestion. Azelastine is a nasal antihistamine and does not interact adversely with the other medications that you are taking. It also can be used on a daily basis. ...Read more

Dr. Dennis Jerome Dr. Jerome
Internal Medicine - Allergy & Immunology
47 years in practice
Wayne State University School of Medicine
6

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Can i take afrin nasal spray and azelastine around the same time? Have cold and want afrin for stuffy nose. Want azelastine for post nasal drip.

Can i take afrin nasal spray and azelastine around the same time? Have cold and want afrin for stuffy nose. Want azelastine for post nasal drip.

Yes: You can safely use afrin twice a day for 3-5 days without any prolonged harmful effects i.e. Rebound congestion. This would actually allow improved delivery of Astelin to your nasal passages when they are swollen. ...Read more

Dr. Farhad Sigari Dr. Sigari
ENT - Head & Neck Surgery
16 years in practice
George Washington University Medical School
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Has anyone used astelin nasal spray?

Has anyone used astelin nasal spray?

Yes: I prescribe it to my patients quite often. I recommend it for patients that have allergic rhinitis and/or nasal congestion - often in conjunction with a nasal steroid spray. Together, they can work quite well for nasal symptoms of rhinitis. ...Read more

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Dr. John Chiu Dr. Chiu
Internal Medicine - Allergy & Immunology
53 years in practice
University of Vermont College of Medicine
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I have bad post nasal drip. I started using azelastine as two sprays in the morning and Veramyst as two sprays in the evening. But no improvement. ?

I have bad post nasal drip. I started using azelastine as two sprays in the morning and  Veramyst as two sprays in the evening. But no improvement.   ?

See allergist: If your symptoms have not responded to Veramyst and Azelastine, you should consult an allergist (who has also completed training in internal medicine and/or pediatrics) to find out whether the problem is an allergic one. If so, help you out on avoidance measures and guide you on the treatment. Reflux disease can also lead to a sensation and sinus infection the presence of post-nasal drips. ...Read more

Dr. Rhonda Simons Dr. Simons
Family Medicine
11 years in practice
Kansas City University of Medicine and Biosciences College of Osteopathic Medicine
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The dr. Prescribed azelastine and fluticasone nasal sprays. 1. Can I use both at the same time? 2. If not, how long do I wait between each?

The dr. Prescribed azelastine and fluticasone nasal sprays.  1. Can I use both  at the same time?  2. If not, how long do I wait between each?

Yes!: I generally use the Astelin (azelastine) first, as it is a decongestant. Inhale gently, it tastes yucky, but works well! then do the fluticasone at night or a couple minutes after the astelin (azelastine). ...Read more

Dr. Kristin Sokol Dr. Sokol
Internal Medicine - Allergy & Immunology
8 years in practice
University of Miami Miller School of Medicine
10
Dr. Marsha Davis Dr. Davis
Internal Medicine
24 years in practice
Medical College of Wisconsin
11
Dr. John Chiu Dr. Chiu
Internal Medicine - Allergy & Immunology
53 years in practice
University of Vermont College of Medicine
12

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Can I take an additional oral antihistamine with Azelastine nasal spray? For chronic rhinitis, I find the affects of the spray wear off after 5 hours

Can I take an additional oral antihistamine with Azelastine nasal spray? For chronic rhinitis, I find the affects of the spray wear off after 5 hours

Yes: There is no problem in using both. Have you tried a combination with both a nasal steroid and nasal azelastine? Consider seeing an allergist. ...Read more

Dr. Avner Aliphas Dr. Aliphas
ENT - Head & Neck Surgery
11 years in practice
University of Pennsylvania School of Medicine
13

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I have nasonex (mometasone) and astelin (nasal spray) but I am not sure wich one will be the best for sinus congestion. Please suggest me which one to take.

I have nasonex (mometasone) and astelin (nasal spray) but I am not sure wich one will be the best for sinus congestion. Please suggest me which one to take.

They are different: The best first line treatment should include saline nasal irrigation and nasal steroid spray. The steroid spray is long acting and takes affect over the first few weeks of use. The steroid spray helps decrease long term nasal inflammation. Astelin is a topical antihistamine ( like claritin) and can be used in conjunction for symptomatic relief. ...Read more

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Dr. Erin Robertson Dr. Robertson
General Practice
15 years in practice
University of Michigan Medical School
14

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Saline nasal allergy spray called asteoto. it's main ingredient is azelastine hcl. could that show up on my drug test?

Saline nasal allergy spray called asteoto. it's main ingredient is azelastine hcl. could that show up on my drug test?

No, but sedating: Tons of meds cause false-positive results in drug tests. It depends on the actual testing reagents. Here's just one ex: http://www.pharmacologyweekly.com/articles/drug-classes-cause-false-positive-urine-drug-screen. Be honest reporting all meds, even if they won't show. Your antihistamine drops are considered sedating, so may be prohibited if you are a pilot/ATC. Consider montelukast. Works well. ...Read more

Dr. Justin Greiwe Dr. Greiwe
Internal Medicine - Allergy & Immunology
8 years in practice
University of Toledo College of Medicine
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Dr. Justin Greiwe Dr. Greiwe
Internal Medicine - Allergy & Immunology
8 years in practice
University of Toledo College of Medicine
16
Dr. John Chiu Dr. Chiu
Internal Medicine - Allergy & Immunology
53 years in practice
University of Vermont College of Medicine
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Chronic rhinitis for 2 years. Tried everything. Worst symptom = thick mucus PND. Would Azelastine spray be worth a go? How long to test it for?

Chronic rhinitis for 2 years. Tried everything. Worst symptom = thick mucus PND. Would Azelastine spray be worth a go? How long to test it for?

Certainly: It is worth trying and you may also consider adding a nasal steroid to it at the same time as well. It should start working in 15 minutes but may take several days to provide optimal results. Do note that reflux can at times lead to a sensation of PND. ...Read more

Dr. Michael Sanders Dr. Sanders
Internal Medicine - Pulmonology
12 years in practice
Pikeville College School of Osteopathic Medicine
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Dr. Neil Baman Dr. Baman
Internal Medicine - Allergy & Immunology
16 years in practice
Pennsylvania State University College of Medicine
19

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Is astelin (azelastine) allergy spray addictive or not?

Is astelin (azelastine) allergy spray addictive or not?

No: Astelin nasal spray is not addictive like some other medications. It is a topical antihistamine spray that can provide relief for patients with symptoms of chronic rhinitis, such as sneezing, runny nose, postnasal drip, and nasal congestion. ...Read more

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Dr. John Chiu Dr. Chiu
Internal Medicine - Allergy & Immunology
53 years in practice
University of Vermont College of Medicine
20

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I been using azelastine and i always have the bitter taste and swallow it. is it ok? is there harm swallowing it? when i spray its alot hard to use

I been using azelastine and i always have the bitter taste and swallow it. is it ok? is there harm swallowing it? when i spray its alot hard to use

Change technique: Be sure to aim the nozzle towards the sides of the nose and not the center. Avoid inhaling while spraying despite what the instruction told you in the package insert. Tip your head forwards for a few seconds afterwards. This may help reduce the amount of spray entering your throat and thus the taste. Let me know if this helps. ...Read more

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Dr. Milton Alvis Jr
54 doctors shared insights

Astelin (Definition)

Astelin is a nasal preparation which is a kind of ...Read more


Dr. Jack Mutnick
1,167 doctors shared insights

Nasal (Definition)

NaSal is a nasal preparation which is a kind of ...Read more